{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T21:04:24Z","timestamp":1777928664803,"version":"3.51.4"},"reference-count":19,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2017,3,21]],"date-time":"2017-03-21T00:00:00Z","timestamp":1490054400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Lupus"],"published-print":{"date-parts":[[2017,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background and objective<\/jats:title>\n                    <jats:p>African\u2013Americans and Hispanic\u2013Americans with lupus are the two most common minority groups who receive kidney transplants in the USA. It is unknown if African\u2013Americans and Hispanic\u2013Americans with lupus have similar outcomes after kidney transplantation. In this study, we assessed whether African\u2013Americans compared to Hispanic\u2013Americans have worse kidney allograft survival after risk factors of rejection and other prognostic factors were matched between both groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Out of 1816 African\u2013Americans and 901 Hispanic\u2013Americans with lupus, who received kidney transplants between 1987 and 2006 and had complete records in the UNOS program, 478 pairs were matched in 16 baseline predictors and follow-up time employing a predicted probability of group membership. The primary outcome was kidney allograft survival. Main secondary outcomes were rejection, allograft failure attributed to rejection, and mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Matched pairs were predominantly women (81%) with the mean age of 36 years. 96% were on dialysis before transplantation. 89% of recipients received kidneys from deceased donors and 15.5% from expanded criteria donors. 12% of recipients had zero HLA mismatch. African\u2013Americans compared to Hispanic\u2013Americans had lower cumulative allograft survival during 12-year follow-up ( p\u2009&lt;\u20090.001). African\u2013Americans compared to Hispanic\u2013Americans had higher rates of rejection (10.4 vs 6.73 events\/100 patients-years; p\u2009=\u20090.0002) and allograft failure attributed to rejection (6.31 vs 3.99; p\u2009=\u20090.0023). However, African\u2013Americans and Hispanic\u2013Americans had similar mortality rates (2.71 vs 2.31; p\u2009=\u20090.4269).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>African\u2013Americans compared to Hispanic\u2013Americans with lupus had lower kidney allograft survival when recognized risk factors of rejection were matched between groups.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0961203317699287","type":"journal-article","created":{"date-parts":[[2017,3,22]],"date-time":"2017-03-22T01:04:30Z","timestamp":1490144670000},"page":"1269-1277","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":13,"title":["Lower kidney allograft survival in African\u2013Americans compared to Hispanic\u2013Americans with lupus"],"prefix":"10.1177","volume":"26","author":[{"given":"M L","family":"Gonzalez-Suarez","sequence":"first","affiliation":[{"name":"Division of Nephrology and Hypertension, Department of Medicine, Mayo Clinic, Rochester, MN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G","family":"Contreras","sequence":"additional","affiliation":[{"name":"Division of Nephrology and Hypertension, Department of Medicine, University of Miami, Miller School of Medicine, Miami, FL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2017,3,21]]},"reference":[{"key":"bibr1-0961203317699287","doi-asserted-by":"crossref","first-page":"917","DOI":"10.1681\/ASN.V115917","volume":"11","author":"Rabbat CG","year":"2000","journal-title":"J Am Soc Nephrol"},{"key":"bibr2-0961203317699287","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199912023412303"},{"key":"bibr3-0961203317699287","doi-asserted-by":"publisher","DOI":"10.1038\/ki.1996.307"},{"key":"bibr4-0961203317699287","doi-asserted-by":"publisher","DOI":"10.1177\/152692480101100411"},{"key":"bibr5-0961203317699287","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.2009101093"},{"key":"bibr6-0961203317699287","doi-asserted-by":"publisher","DOI":"10.1177\/0961203311421208"},{"key":"bibr7-0961203317699287","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2005.01.038"},{"key":"bibr8-0961203317699287","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-0012.2007.00781.x"},{"key":"bibr9-0961203317699287","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199209173271203"},{"key":"bibr10-0961203317699287","doi-asserted-by":"publisher","DOI":"10.1177\/0961203313513819"},{"key":"bibr11-0961203317699287","doi-asserted-by":"publisher","DOI":"10.1016\/S1073-4449(97)70015-3"},{"key":"bibr12-0961203317699287","doi-asserted-by":"publisher","DOI":"10.1097\/00007890-200107270-00017"},{"key":"bibr13-0961203317699287","doi-asserted-by":"publisher","DOI":"10.1016\/S0272-6386(99)70397-5"},{"key":"bibr14-0961203317699287","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-6143.2002.20314.x"},{"key":"bibr15-0961203317699287","doi-asserted-by":"publisher","DOI":"10.1093\/biomet\/70.1.41"},{"key":"bibr16-0961203317699287","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.2004040333"},{"key":"bibr17-0961203317699287","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfm459"},{"key":"bibr18-0961203317699287","doi-asserted-by":"publisher","DOI":"10.1111\/tri.12791"},{"key":"bibr19-0961203317699287","doi-asserted-by":"crossref","first-page":"2366","DOI":"10.1681\/ASN.V11122366","volume":"11","author":"Meier-Kriesche HU","year":"2000","journal-title":"J Am Soc Nephrol"}],"container-title":["Lupus"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0961203317699287","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0961203317699287","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0961203317699287","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T23:18:04Z","timestamp":1777677484000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0961203317699287"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,3,21]]},"references-count":19,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2017,10]]}},"alternative-id":["10.1177\/0961203317699287"],"URL":"https:\/\/doi.org\/10.1177\/0961203317699287","relation":{},"ISSN":["0961-2033","1477-0962"],"issn-type":[{"value":"0961-2033","type":"print"},{"value":"1477-0962","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,3,21]]}}}